NPI | 1417141623 |
---|---|
Other Name | FAYETTEVILLE ENDOSCOPY |
Entity Type | Organization |
Authorized Contact | TINA M. CASILLO Practice Administrator 910-323-5203 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: NC AS0071) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2021-02-11 |